There are many different causes of back pain and as many ways to treat those causes as described in the article below by a back pain specialist. Dr. John Shiau also describes a new procedure that he has been perfecting that can be of help to back pain sufferers whose pain is located in a specific area of the body.
Did you know back pain is the second most common reason patients visit their physician, trailing only the common cold? Back pain may stem from a variety of issues, including injuries or chronic conditions. This can be a painful and debilitating ailment that previously often was treated with lengthy, traumatic surgery.
Fortunately, this is no longer the case, and new, innovative medical procedures are available to relieve pain.
Some back pain derives from the sacroiliac (SI) joint, located in the bony pelvis between the sacrum and ilium. The pelvis acts as a central base through which large forces are transferred and dissipated. The primary role of the SI joint is to provide stability for the pelvis and bear the load of the upper body. It is commonly reported in clinical literature that up to 25 percent of all lower back pain is caused by the joint.
There are risk factors associated with lower back pain and many are directly associated with lumbar disc injury. They include smoking, poor physical condition, positive family history and occupational lifting.
The cause of SI joint pain is likely a disruption of the movements between the left and right SI joints, from either too much or too little movement. Symptoms of SI joint disruption and dysfunction include: Pain in the lower back, pelvis/buttock, hip/groin and lower extremities, including numbness, tingling and weakness; poor sleeping habits; unilateral leg instability, and sitting problems.
How is it determined that the patient is suffering from SI joint pain and not another ailment? A physician will deliver an injection with either fluoroscopic or CT guidance to ensure a needle is accurately placed in the joint.
If, following the injection, the pain has decreased a significant amount, it can be concluded the SI joint is either the source or a major contributor to lower back pain. If the level of pain does not change, the SI joint is not the primary cause.
LESS INVASIVE OPTION
If the injection proves your pain is the former, then minimally-invasive surgery may be the solution. The iFuse implant system requires a small incision and uses a guide pin to place titanium implants across the SI joint. The small implants are designed to stabilize the joint and prevent improper movement, allowing stable healing through minimization of micro-motion.
Generally, three iFuse implants (small, titanium rods approximately the size of your small finger) are used in the procedure. In contrast to the placement of screws across the SI joint, the iFuse implants are designed to maintain their implant position over time.
Post-operatively, you will need to use crutches, a cane or a walker for three to six weeks, depending on your doctor’s recommendation. He or she will advise you on resuming daily activities as healing and symptoms allow. Depending on your occupation, you may be able to return to work at this time. You will also need to have X-rays taken at six months and one year to assess progress.
If you suffer with back pain and are looking at options to relieve that pain, surgery should usually be your absolute last choice. But if you are considering surgery, then the less invasive that surgery is the better. Talk to more than one back pain specialist and get various opinions before making your final decision.
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Just hearing the words “back surgery” can instill fear in the hearts of most patients. There are a few exceptions where back surgery procedures may be necessary, but for the most part, other treatments and therapies can be very effective and should be used. Back surgery is usually recommended only if your back problem is affecting your mobility and other treatments have not been effective. However, despite conservative treatment measures, sometimes back surgery is inevitable.